Schuler Michael, Gerlich Christian, Leven Lorenz, Renz Silvan, Pamperin Ina, Vorsatz Nadine, Vogel Heiner
Institut für Klinische Epidemiologie und Biometrie, Universität Würzburg, Würzburg (Bayern), Deutschland.
Department für Angewandte Gesundheitswissenschaften, Hochschule für Gesundheit, Bochum (Nordrhein-Westfalen), Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2024 Jul;67(7):806-814. doi: 10.1007/s00103-024-03907-4. Epub 2024 Jun 19.
Employees with mental burden and simultaneous workplace problems have an increased risk of chronification and disability pension. To support this group of people, the German Pension Insurance (Deutsche Rentenversicherung Bund) developed the Systemic Integration Management for People with Mental Impairments (SEMpsych) project as part of the rehapro federal program. The Blaufeuer counselling service was implemented in three model regions (Berlin, Cologne, and Nuremberg). The measure usually comprises up to 12 counselling sessions in 12 months. This article describes the characteristics of the participants and examines whether they belong to the intended target group.
During September 2020 and June 2022, the participants completed a questionnaire between the first and second counselling sessions. Socio-demographic-, clinical- and work-related variables were assessed. The data were analysed using descriptive statistics and 95% confidence intervals.
Data from n = 482 participants (66.4% female; M = 45.2 years (±10.2 years); 64.1% working full-time; 49.8% currently on sick leave) were included. The participants have high psychological impairments (e.g. PHQ-9: M = 14.6 (±5.4)) and low subjective work ability (e.g. WAS: M = 3.2 (±2.6)). Most participants report overload at work and problems with superiors.
Participants exhibit mental burden values that correspond to those of patients at the beginning of outpatient psychotherapy or the first contact in an inpatient psychiatric clinic. Blaufeuer addresses a highly stressed group of people who have not yet received adequate treatment. Further studies on process and outcome evaluation will follow.
承受精神负担且同时面临工作场所问题的员工患慢性病和领取残疾抚恤金的风险增加。为了支持这群人，德国养老保险（德国联邦养老保险）开展了针对精神障碍者的系统整合管理（SEMpsych）项目，作为康复联邦计划的一部分。“蓝火”咨询服务在三个示范地区（柏林、科隆和纽伦堡）实施。该措施通常包括在12个月内进行多达12次咨询会议。本文描述了参与者的特征，并研究他们是否属于预期的目标群体。
在2020年9月至2022年6月期间，参与者在第一次和第二次咨询会议之间完成了一份问卷。评估了社会人口统计学、临床和工作相关变量。使用描述性统计和95%置信区间对数据进行分析。
纳入了n = 482名参与者的数据（66.4%为女性；平均年龄M = 45.2岁（±10.2岁）；64.1%全职工作；49.8%目前正在休病假）。参与者有较高的心理障碍（例如，PHQ - 9：平均得分M = 14.6（±5.4））和较低的主观工作能力（例如，WAS：平均得分M = 3.2（±2.6））。大多数参与者报告工作过载和与上级的问题。
参与者表现出的精神负担值与门诊心理治疗开始时或住院精神科诊所首次接触时患者的精神负担值相当。“蓝火”服务针对的是一群压力很大但尚未得到充分治疗的人。后续将进行关于过程和结果评估的进一步研究。
